CAJ | 학술논문

循证医学的兴起被认为是医学界重要的现代化运动，其哲学基础却一直倍受质疑。回顾了循证医学概念的发展和基本假设，整理了从认识论视角质疑循证医学的若干观点，着重介绍循证医学倡导者对循证医学认识论的基本看法，包括证据和知识的关系，观察到的、可观察的和不可观察的事实间的关系，正确地进行观察，指出循证医学不是全新的医学证据产生与运用理论，而是对多种科学推理规则的综合运用。循证医学是应客观需要而产生，因争议而不断自我完善，实现其迅速发展。
순증의학적흥기피인위시의학계중요적현대화운동，기철학기출각일직배수질의。회고료순증의학개념적발전화기본가설，정리료종인식론시각질의순증의학적약간관점，착중개소순증의학창도자대순증의학인식론적기본간법，포괄증거화지식적관계，관찰도적、가관찰적화불가관찰적사실간적관계，정학지진행관찰，지출순증의학불시전신적의학증거산생여운용이론，이시대다충과학추리규칙적종합운용。순증의학시응객관수요이산생，인쟁의이불단자아완선，실현기신속발전。
The rise of evidence-based medicine (EBM ) has been considered as a modernize movement of medical profession . However ,its philosophical foundation has always been questioned .This paper reviewed the evolutional process of the concept and background of the basic hypothesis on EBM ,cleared up ideas which queried EBM on epistemology ,also it emphasized on the main epistemological opinions of EBM advocators ,including the relationship between evidence and knowledge , the relationship among those can be observed ,observable and those in unobservable reality ,making correct observations .EBM is not a new theory of medical evidence ,but a comprehensive application of many existing scientific reasoning rules .Overall ,this paper pointed out that because EBM was formed by the needs and perfected itself by disputing ,it has been improving rapidly .